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1194461574
ERIC PORTALATIN
IOWA CITY, IA
NPI
1194461574
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2022-05-09
Last Update Date
2022-05-09
Business Address
ERIC PORTALATIN
200 HAWKINS DR
IOWA CITY, IA 52242-1009
Phone number: 319-356-0225
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Mailing Address
ERIC PORTALATIN
8283 BAYMEADOWS RD E APT 1218
JACKSONVILLE, FL 32256-3058
Phone number: 904-874-3534
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